Tooth replacement is the greatest boon for mankind. When a tooth is lost, a patient has several options for treatment could he or she decide to replace the missing tooth. The appropriate method best for a specific patient can only be determined by taking into account a wide range of factors. These factors will include data on the patient’s overall and periodontal health, bone structure, which tooth has been lost, how the tooth was lost (falling out, extraction, or broken), and the patient’s own wishes.
Types of tooth/teeth replacement
There are three basic ways to replace missing teeth.
- Removable partial dentures
- Tooth-supported bridges
- Implant-supported teeth
Implants:
Implants are the best near-natural replacement option for a tooth that is lost. There are two types of implants.
- Conventional implants
- Strategic implants / Basal Implants
Conventional implants:
A dental implant is an artificial tooth root that is placed into the alveolar portion of the Jaw Bone.
Basal implantology / Strategic Implantology:
•bicortical implantology /cortical implantology – basal cortical portion of the jaw bones for retention
•Unique / Highly advanced implants.
•Applies the rules of orthopaedic surgery, “orthopaedic implant” Basal implants are the implants that takes support from basal bone which is the standard bone that will not undergo resorption.
Cortical bone or basal bone should be used for implant anchorage for good reasons:
1.Bones typically consist out of a strong, highly mineralized outer cortical and an inner portion of bone, called “spongious bone”. While cortical bone areas are structurally needed and always repaired, spongious bone areas can’t be repaired. This promotes/ guarantees the implants integration.
2.Another reason is, that cortical bone is highly resistant due to its high mineralisation, allowing immediate loading protocols. Hence, we better describe the technology today as “cortico-basal implantology”.
Why strategic implants ?
•Utilization of the patient’s own bone substance
•Immediate/early loading — SINGLE SURGICAL PHASE, reduced costs
•Immediate implant placement after extensive tooth extractions
•Failure Implant-retreatment cases
•Favourable distribution of biomechanical loads
•All under LOCAL ANAESTHESIA- ZYGOMAIMPLANTS.
•No need for Bone Grafts, Sinus lifting, any-other unnecessary procedures
•Predictable, Aesthetically pleasing
•Safe — Diabetics ( HbA1c -8,9,10,1 1), Smokers, Aggressive periodontitis, Poor Oral Hygiene
Contraindications:
•prolonged oral or i.v. use of Biphosphonates
•Recent MI patient and cv accidents
•Immunosuppressant therapy, chemo and radiation patients.
Advantages of Basal Implants
•Immediate Loading
•One piece implant
•Basal — cortical bone support
•Minimally invasive, minimal surgical complications
•Works well in compromised bone situations
Conclusion:
There are several factors that lead to loss of tooth, but replacement options have gone to high standards where we can achieve a near natural tooth replacement with strategic implantology. So accepting this new normal with near natural replacement is harmony.
